| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,881.45 | $4,933.00 | $5,069.20 | |
BCBS
| Facility | $18,087.32 | $21,081.41 | $28,561.95 | |
Health Alliance Plan
| Facility | $4,093.00 | $4,933.00 | $4,933.00 | |
United
| Facility | $1,906.00 | $4,645.00 | $6,327.00 |